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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60878/psn-pdfJanuary 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45232/psn-pdfAugust 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42274/psn-pdfMay 22, 2013 - Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? May 22, 2013 Philibert I, Nasca TJ, Brigham T, et al. Duty-hour limits and patient care and resident outcomes: can high- quality studies offer insight into complex relationships? Annu Rev Med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60718/psn-pdfJuly 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842759/psn-pdfJanuary 18, 2023 - Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. https://psnet.ahrq.gov/issue/cognitive-aids… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46699/psn-pdfMarch 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839312/psn-pdfNovember 02, 2022 - Documenting the indication for antimicrobial prescribing: a scoping review. November 2, 2022 Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. https://psnet.ahrq.gov/issue/documenting-indicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39517/psn-pdfMay 25, 2010 - A prospective controlled trial of the effect of a multi- faceted intervention on early recognition and intervention in deteriorating hospital patients. May 25, 2010 Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and inter… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40162/psn-pdfDecember 29, 2014 - Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. December 29, 2014 Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Int J Qual Health Care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44654/psn-pdfNovember 11, 2015 - Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. November 11, 2015 Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. https://psnet.ahrq.gov/issue/reduction-chemo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74693/psn-pdfJanuary 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47009/psn-pdfDecember 21, 2018 - Perceptions of rounding checklists in the intensive care unit: a qualitative study. December 21, 2018 Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44088/psn-pdfMay 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42382/psn-pdfJuly 16, 2014 - Huddling for high reliability and situation awareness. July 16, 2014 Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness Se… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72813/psn-pdfMarch 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity and mortality. March 10, 2021 Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005. https://psnet.ahrq.gov/issue/racialet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838637/psn-pdfOctober 19, 2022 - Patient safety and legal regulations: a total-scale analysis of the scientific literature. October 19, 2022 Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123. doi:10.1097/pts.000000000000104… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37805/psn-pdfFebruary 15, 2011 - Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. February 15, 2011 Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38350/psn-pdfMarch 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. March 1, 2011 Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836932/psn-pdfApril 13, 2022 - Nurses: Guilty verdict for dosing mistake could cost lives. April 13, 2022 Loller T. Associated Press. March 30, 2022. https://psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives Reporting medical errors, learning from them, and improving systems is a cornerstone of improving patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851199/psn-pdfJuly 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. July 5, 2023 Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-inc…
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